| NPI | 1770037962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT NOORDA CEO 435-688-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |